Attachment L-1.1 List of Data Packages.docx

DOCX document 21 KB Posted

Attached to
DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5) Federal contract opportunity
Solicitation number
HT940220R0002
Issued by
Defense Health Agency

About this file

Written by GovTribe AI ·

This document provides a draft request for proposal for the Defense Health Agency's TRICARE Pharmacy Services, 5th Generation contract. The Defense Health Agency is seeking proposals for pharmacy benefit management services to support the TRICARE program. The anticipated contract would have an 18-month base period for transition followed by seven 1-year option periods for service delivery and a potential 6-month extension. Services required include retail pharmacy network management, mail order pharmacy, specialty pharmacy, clinical programs, quality management, and coordination of benefits with other health plans. The draft RFP provides potential offerors with sections B through M and attachments L and J for review. Comments on key aspects of the draft are requested by January 17, 2020 to inform revisions prior to solicitation. An optional information session on the draft RFP will be held on December 11, 2019.

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Other files for this federal contract opportunity

Other files attached to DRAFT RFP TRICARE Pharmacy Services, 5th Generation (TPharm5), newest first.
File Type Posted
DSADHA_SSVTemplate_20170101.pdf PDF
Responses to Industry on Revised Draft Section C 20200504.pdf PDF
TPharm5 - Overview of Changes to Draft Section C.DOCX DOCX document
DHA Responses to Industry on Draft RFP 20200318.pdf PDF
TPharm5 Draft RFP Info Session 20191211.pdf PDF
Data Pkg 13 - MTF Claims Volumes by Site.xlsx XLSX spreadsheet
Attachment L-3 Specialty Reimbursement for Use in Determining Incentiv....docx DOCX document
Attachment L-9 Benefit Design Document_TPharm5.xlsx XLSX spreadsheet
Attachment L-2 Retail Network Reimbursement Table.docx DOCX document
TPharm5 Draft RFP READ FIRST 20191202.docx DOCX document
Tpharm5 Draft Section G 20191202.docx DOCX document
Attachment L-8 MMC Sample File.xlsx XLSX spreadsheet
Attachment L-9.8 PA_ST_QL List.XLSX XLSX spreadsheet
Attachment L-4 Negotiated Specialty Retail Replenished Dispensing Fees.docx DOCX document
Attachment L-9.9 Fluoride Products List.xlsx XLSX spreadsheet
Attachment L-12 IHS_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
Data Pkg 15 IHS_Pharmacy_Claims_Volume_2017_&_2018.xlsx XLSX spreadsheet
TPharm5 Draft Section E 20191120.docx DOCX document
TPharm5 Draft Section D 20191120.docx DOCX document
Attachment L-19 Past Performance Questionnaire Template Tab F 20191120.docx DOCX document
Attachment J-2 Acronym List.docx DOCX document
Attachment J-3 Website Links.docx DOCX document
Attachment L-5 Guaranty_Agreement.pdf PDF
Attachment L-7 Teaming Subcontractor Consent Ltr.docx DOCX document
Attachment L-9.3 Covered OTCs - Purchased Care.xlsx XLSX spreadsheet
Attachment L-19.1 PPI Tool Instructions.docx DOCX document
Data Pkg 3 TRICARE Retail Pharmacy Claim Volume.xlsx XLSX spreadsheet
TPharm5 Draft Section C 20191202.docx DOCX document
Data Pkg 6 - MOP Utilization.xlsx XLSX spreadsheet
Attachment L-13 VA_Pharmacy_Listing_2019.xlsx XLSX spreadsheet
Attachment L-1.2 Non-Disclosure Agreement.docx DOCX document
Data Pkg 21 Enrolled Beneficiary Population.xlsx XLSX spreadsheet
TPharm5 Draft Section H 20191121.docx DOCX document
Data Pkg 10 - Compound Utilizers.xlsx XLSX spreadsheet
TPharm5 Draft Section I 20191120.docx DOCX document
Data Pkg 11 - Retail Utilization Detail, Guarantee Categories.xlsx XLSX spreadsheet
TPharm5 Draft Section F 20191202.docx DOCX document
Data Pkg 19 Historical_TMDS_Volume_2017-2018.xlsx XLSX spreadsheet
Attachment L-9.4 Covered OTC List - MHS GENESIS.xlsx XLSX spreadsheet
Data Pkg 7 Specialty Drug Utilization, Retail and Mail.xlsx XLSX spreadsheet
Data Pkg 14 Retail Claims with COB.xlsx XLSX spreadsheet
Attachment J-5 TPharm5 Award Fee Plan 20191122.docx DOCX document
Data Pkg 5 MOP Utilization by Drug.xlsx XLSX spreadsheet
Data Pkg 23 - Paid Claims and Rejects - MHS GENESIS.xlsx XLSX spreadsheet
Data Pkg 22 - Paid Claims and Rejects - Retail.xlsx XLSX spreadsheet
Data Pkg 24 - CHCBP Volume.xlsx XLSX spreadsheet
Attachment L-9.6 Self-Admin Injectables List.xlsx XLSX spreadsheet
Attachment L-9.7 Expanded Use of MTF and TMOP List.xlsx XLSX spreadsheet
Attachment L-18 CDRL Supplemental Bid Schedule.xlsx XLSX spreadsheet
Attachment L-1 Ordering Instructions for Data Files not on SAM.gov.docx DOCX document
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SECTION L

INSTRUCTIONS, CONDITIONS, AND NOTICES TO OFFERORS

Attachment L-1.1 List of Data Packages

Item #
Description
Delivery Method
Data Pkg 1
Retail Utilization by Pharmacy
SAM
Data Pkg 2
Retail Utilization by Drug
SAM
Data Pkg 3
TRICARE Retail Pharmacy Claim Volume
SAM
Data Pkg 4
Clinical Review Volume
SAM
Data Pkg 5
MOP Utilization by Drug
SAM
Data Pkg 6
MOP Utilization
SAM
Data Pkg 7
Specialty Drug Utilization, Retail and Mail
SAM
Data Pkg 8
Mail and Retail Monthly Utilizers
SAM
Data Pkg 9
Customer Service Volume
SAM
Data Pkg 10
Compound Utilizers
SAM
Data Pkg 11
Retail Utilization Detail, Guarantee Categories
SAM
Data Pkg 12
Historical Deployed Prescription Volume
SAFE
Data Pkg 13
MTF Claims Volumes by Site
SAM
Data Pkg 14
Retail Claims with Coordination of Benefits
SAM
Data Pkg 15
IHS Pharmacy Claims Volume
SAM
Data Pkg 16
VA Pharmacy Claims Volume and VA CHDR Volume
SAM
Data Pkg 17
TRICARE Beneficiaries by Zip Code
SAM
Data Pkg 18
Historical Federal Ceiling Price (FCP) Dispute Volume
SAFE
Data Pkg 19
Historical Theater Medical Data Store (TMDS) Volume
SAM
Data Pkg 20
Prescription Monitoring Program
SAFE
Data Pkg 21
Enrolled Beneficiary Population
SAM
Data Pkg 22
Paid Claims and Rejects - Retail
SAM
Data Pkg 23
Paid Claims and Rejects - MHS Genesis
SAM
Data Pkg 24
CHCBP Volume
SAM
Data Pkg 25
OHI Development
SAM

Delivery Details:

SAM: File is posted with the draft Request for Proposal (RFP) at the System for Award Management (beta.sam.gov) SAFE: Interested parties will need to follow the instructions in L-1 to obtain these files via download from the DoD Secure Access File System (SAFE)

26 Nov 2019 Page 1 of 1 HT9402-20-R-0002

File details come from the government source that posted it. Updated .